| NPI | 1497106306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMISHA JOHNSON Office Manager 682-553-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |